Protecting health care workers: a pandemic simulation based on Allegheny County.

TitleProtecting health care workers: a pandemic simulation based on Allegheny County.
Publication TypeJournal Article
Year of Publication2010
AuthorsCooley P, Lee BY, Brown S, Cajka J, Chasteen B, Ganapathi L, Stark JH, Wheaton WD, Wagener DK, Burke DS
JournalInfluenza Other Respir Viruses
Date Published2010 Mar
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Computer Simulation, Cross Infection, Disease Outbreaks, Female, Health Personnel, Humans, Infant, Infant, Newborn, Influenza Vaccines, Influenza, Human, Male, Middle Aged, Occupational Diseases, Vaccination, Young Adult

BACKGROUND AND OBJECTIVES: The Advisory Committee on Immunization Practices has identified health care workers (HCWs) as a priority group to receive influenza vaccine. Although the importance of HCW to the health care system is well understood, the potential role of HCW in transmission during an epidemic has not been clearly established.METHODS: Using a standard SIR (Susceptible-Infected-Recovered) framework similar to previously developed pandemic models, we developed an agent-based model (ABM) of Allegheny County, PA, that incorporates the key health care system features to simulate the spread of an influenza epidemic and its effect on hospital-based HCWs.FINDINGS: Our simulation runs found the secondary attack rate among unprotected HCWs to be approximately 60% higher (54.3%) as that of all adults (34.1%), which would result in substantial absenteeism and additional risk to HCW families. Understanding how a pandemic may affect HCWs, who must be available to treat infected patients as well as patients with other medical conditions, is crucial to policy makers' and hospital administrators' preparedness planning.

Alternate JournalInfluenza Other Respir Viruses
PubMed ID20167046
PubMed Central IDPMC2894576
Grant ListU01-GM070698 / GM / NIGMS NIH HHS / United States
U01-GM070708 / GM / NIGMS NIH HHS / United States
U24 GM087704-01 / GM / NIGMS NIH HHS / United States
U54 GM088491 / GM / NIGMS NIH HHS / United States
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